The new Stepped Care Framework to govern the delivery of Dementia Services has recently been published. The new model aims to integrate the roles of Primary Care and Secondary Care (Memory Clinics) in both the diagnosis and follow on care for people with Dementia. Currently the majority of dementia diagnoses are made by Consultant Psycho-Geriatricians with follow on care being provided by a combination of Consultants and Specialist Nursing. The new model aims to enhance the role of General Practitioners and Nursing in the Assessment, Diagnosis and following on care for older people with Mild Cognitive Impairment/Early Stage Non-Complicated Dementia.

To achieve this objective the ECHO model will assist in capacity building, knowledge transfer, and through the provision of outreach expertise from Consultant Psycho-Geriatrician/Geriatrician they will provide the necessary clinical governance both in formulation of diagnoses and in management of pharmacological interventions.

Hub Facilitators

Roisin Doyle

Roisin Doyle is the Network Lead for the Dementia ECHO project. She works as a Service Improvement Lead in the Health and Social Care Board which involves working on a range of service improvement projects with a wide range of stakeholders. In regards to dementia Roisin has been working  with HSCT trusts , PHA, primary care , the third sector organisations , Dementia NI and carers to develop a regional dementia care pathway which will inform a future integrated dementia services framework. Roisin is a qualified social worker and prior to her current post she worked for many years in hospital and community services where she held responsibility for hospital social work services, stroke services, hospital and community rehabilitation services.

Roisin Doyle image
Mary Murdock image

Mary Murdock

Mary Murdock works in Belfast Health and Social Care Trust as a specialist Dementia Nurse within the Dementia Inpatient / Outreach Service.

Her role includes facilitating and co-ordinating  all discharges from the Inpatient unit back into community setting, and providing support following discharge.

As part of the Outreach Service, she works in partnership with staff in care home environments (including own home)  to provide intensive support when a person’s behaviour is challenging to the staff, in order to prevent him or her being admitted to hospital or having to move to an alternative care home. 


25th November – Diagnosis / Awareness

7th December – Dementia Subtypes & Early Onset

18th  January – Medication

27th January – Capacity / Driving / Risk

8th February – Community / Carers/ Support

24th February – Behavioural Issues

15th March – Homebased Rehabilitation / Quality

29th March – Communication

7th April – End of Life